| NPI | 1376868497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16812) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA16812) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2023-01-23 |